A 34-year-old man from Pakistan went to an endocrinology clinic with an unusual complaint. His facial, armpit and pubic hair was very scarce. When the doctors examined him, they also found his penis was much smaller than average. When stretched – which clinicians often do to mimic erect length – the man’s penis measured just under two inches, according to the case report in BMJ Case Reports. That falls under the micropenis category, meaning a penis length that is 2.5 standard deviations below the average.
Doctors also determined his testicular volume was very low, as were his testosterone levels. The cut off for low T varies among labs, but anything below 300 nanograms per decilitre is generally considered diagnostic for low testosterone. The guy was measured just 55.99ng/dL.
Other lab work revealed low levels of other reproductive hormones, like a luteinizing hormone and follicular stimulating hormone, too. An interview with the man uncovered that he wasn’t ejaculating, and was experiencing fewer morning erections.
A relatively uncommon disorder called idiopathic hypogonadotropic hypogonadism – where the testes don’t produce enough male sex hormones. They determined he had the idiopathic kind, meaning there was no structural or functional abnormalities in his pituitary gland or hypothalamus responsible for it.
Low testosterone can cause low sex drive, weak or fewer erections, increase in body fat, lower energy, reduction in muscle mass, depression, and fatigue. The doctors suggested testosterone injections to get his levels up to normal. After nine months of testosterone therapy, his testicular volume doubled in size, his testosterone levels normalised, and his penis grew to the mean size for adults his age. He was able to discontinue therapy.
If you have signs of low testosterone, talk to your doctor about getting your levels checked. If they are low, you might be a candidate for testosterone therapy – and you should notice your symptoms improve. But its important to note, if your levels aren’t clinically low, its unlikely that upping your T will help.
For any advice on sexual health please contact us at Moorgate Andrology.
Or if you’re worried you have a micropenis, we have a variety of procedures available. View them here.